| Grace To Hope Counseling Services Llc | |
|
79030 Freeport Tippecanoe Rd Suite A Tippecanoe OH 44699 | |
| (330) 440-8882 | |
| Not Available |
| Full Name | Grace To Hope Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 79030 Freeport Tippecanoe Rd Suite A, Tippecanoe, Ohio |
| Authorized Official Name and Position | Michele Renee Basiletti (OWNER/PROVIDER) |
| Authorized Official Contact | 3304408882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace To Hope Counseling Services Llc 28000 Mays School Rd Tippecanoe OH 44699-9449 Ph: (133) 044-0259 | Grace To Hope Counseling Services Llc 79030 Freeport Tippecanoe Rd Suite A Tippecanoe OH 44699 Ph: (330) 440-8882 |
| NPI Number | 1891386405 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891386405 | NPI | - | NPPES |
| 1770071623 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |